Individual
LAVONNA CLEOPATRA HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3741 SE 127TH PL, PORTLAND, OR 97236-3296
(503) 960-2005
Mailing address
3741 SE 127TH PL, PORTLAND, OR 97236-3296
(503) 512-0450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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